Abstract
This publication provides an overview of the gaps and challenges in six sub-Saharan African countries (Liberia, Namibia, South Africa, Uganda, the United Republic of Tanzania and Zambia). By providing a picture of front-line prevention and treatment policies, this working paper assesses the socio-economic consequences of low antiretroviral therapy (ART) coverage as well as the key role of the health workforce in international testing and treatment targets (90-90-90). The impact of HIV on caregivers’ working status and their employment opportunities is also reviewed through an empirical analysis. This paper shows that additional action is required to increase the number of people who know their HIV status and to guarantee better access to ART. In particular, there is a need for accelerated action in promoting a wider access to HIV services, from testing and counselling facilities to self-testing programmes. Further, this paper highlights the persistent shortage of doctors, nurses and midwives, and provides insight on the essential role played by community health workers in filling the gaps in care jobs.